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Other Real Estate Related and Other Investments - Narrative (Details)
1 Months Ended 12 Months Ended
Sep. 30, 2022
USD ($)
facility
extension_option
Aug. 31, 2022
USD ($)
facility
extension_option
operator
Jun. 30, 2022
USD ($)
facility
Dec. 31, 2022
USD ($)
loan
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2022
facility
Dec. 31, 2022
state
Mar. 31, 2022
facility
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Principal amount       $ 162,150,000          
Number operated by existing operator | operator   4              
Number operated by large, regional operator | operator   1              
Expected credit loss       3,844,000 $ 0 $ 0      
Number of facilities             216 5  
Expected credit loss         $ 0        
Held for Sale                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Number of facilities | facility                 27
Skilled Nursing Facility                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Number of facilities acquired | facility 4                
Skilled Nursing Facility | Next WV Realty, LLC                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Number of facilities acquired | facility     18            
Skilled Nursing Properties | Held for Sale | Trio Healthcare Holdings, LLC                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Number of facilities | facility 6           6    
Multi-service campuses | Held for Sale | Trio Healthcare Holdings, LLC                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Number of facilities | facility             1    
Mortgage secured loans receivable                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Principal amount $ 24,900,000 $ 22,300,000              
Number of extension option | extension_option 2 2              
Extension option, term (year) 1 year 1 year              
Earnout advance $ 4,700,000                
Subservicing fee percentage 100.00% 50.00%              
Mortgage secured loans receivable | Next WV Realty, LLC                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Principal amount     $ 75,000,000            
Loan receivable interest rate     8.50%            
Servicing fee threshold     8.25%            
Effective rate     8.375%            
Mortgage secured loans receivable | SOFR                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Monthly payment interest rate 4.50% 4.25%              
Mortgage secured loans receivable | SOFR Floor                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Floor rate 1.00% 1.00%              
Mortgage secured loans receivable | Minimum                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Early termination fee 1.00% 2.00%              
Subservicing fee percentage 9.00% 8.25%              
Mortgage secured loans receivable | Minimum | Next WV Realty, LLC                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Early termination fee     1.00%            
Mortgage secured loans receivable | Maximum                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Early termination fee 3.00% 3.00%              
Mortgage secured loans receivable | Maximum | Next WV Realty, LLC                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Early termination fee     3.00%            
Mortgage secured loans receivable | Weighted Average | SOFR                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Monthly payment interest rate 2.85% 2.75%              
B Tranche Mortgage Loan                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Number of facilities acquired by borrower | facility   5              
Mezzanine loans receivable                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Principal amount       15,000,000          
Mezzanine loans receivable | Next WV Realty, LLC                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Principal amount     $ 25,000,000            
Loan receivable interest rate     11.00%            
Mezzanine loans receivable | Minimum | Next WV Realty, LLC                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Early termination fee     1.00%            
Mezzanine loans receivable | Maximum | Next WV Realty, LLC                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Early termination fee     3.00%            
Other                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Principal amount       9,596,000          
Expected credit loss       $ 4,600,000          
Number of loans receivable with provision | loan       2          
Write-off       $ 800,000          
Expected credit loss       $ 2,094,000          
Other | Skilled Nursing Properties                  
Financing Receivable, Allowance for Credit Loss [Line Items]                  
Number of loans receivable with provision | loan       1          
Write-off       $ 2,500,000